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Leaving an impression – OTOSCAN ear scanning solution

Every person has uniquely-shaped ears that continue to grow over time. Making an accurate reproduction of the ear is an important part of delivering a customised ear product. From the early 1950s, this was achieved using a paste which set...

Hear me out – tiny steroid implants for fighting meningitis-induced deafness

Sensorineural hearing loss is the most common neurological complication of pneumococcal meningitis. Bacterial infiltration into the inner ear triggers inflammation, leading to cochlear fibrosis and sclerosis – damage that, in over a third of cases, affects both ears. Current Infectious...

Role of oral and intranasal steroids in the management of otitis media with effusion

Inflammation is considered an important factor in the pathogenesis and continuation of otitis media with effusion. Theoretically, this may support the use of steroids, oral or intranasal in the management of this condition. This study comprised three well matched groups...

Does middle turbinate resection affect olfaction in endoscopic transsphenoidal surgery?

The middle turbinates (MT) are sometimes partially resected during endoscopic transnasal transsphenoidal pituitary surgery to improve surgical access. Some outfracture the middle turbinates instead. This article presents results of the first prospective randomised study, investigating the effects of such surgery...

Taking on tinnitus: a new ambassador

Broadcaster and journalist, Kirsty Gallacher, has joined Tinnitus UK as an ambassador to help raise the profile of tinnitus and the vital work of the charity.

Surgery plus radiotherapy keeps the helical keloid scar away

Keloid scars lead to significant psychological and cosmetic morbidity. As the pinna is a key component of facial cosmesis, pinna keloid scar formation can be aesthetically displeasing. Their stubbornness and high recurrence rate can be challenging to treat. This department,...

Booklet-based supervised vs. non-supervised vestibular rehabilitation

There are conflicting results in the literature about home-based vestibular rehabilitation training (VRT) as opposed to physiotherapist-led training. A randomised controlled trial was designed to interrogate this further. The primary aim was to assess “the effects of a booklet-based exercise...

Reflections on virtual teaching

In a situation where we cannot meet our students (whether they be medical professionals or non-medical), how do we maintain their education? Peter Samuel has been speaking to some colleagues on how they have risen to the challenge. The COVID-19...

Myringoplasty in a bottle?

Management of large traumatic TM perforations can involve observation and water precautions or surgical repair. Closure rates for larger perforations can be 8-12 weeks and occurs for between 38-79%. Animal and human studies have shown that exogenous application of epidermal...

ENT in this issue...Smell

Chris Potter, MA, FRCS(Eng), FRCS (ORL), Consultant ENT Surgeon, Torbay Hospital, UK. E: potler@doctors.org.uk The lack of attention to olfaction as a cultural experience is hard to explain in world literature. It is even harder to explain when one regards...

From the editor MarApr 2022

Declan Costello, MA, MBBS, FRCS(ORL-HNS), Editor, ENT & Audiology News; Consultant Ear, Nose and Throat Surgeon, Wexham Park Hospital, Slough, Berkshire, UK. E: d.costello@nhs.net If you were a gastroenterologist or an ankle surgeon, you might have imagined that it would...

Public Health Planning for Hearing Impairment (2022)

The World Report on Hearing, published in 2021 by the WHO reports that 430 million people in the world have moderate or worse hearing loss, all of whom require rehabilitation [1]. Over 1.5 billion have any degree of hearing loss....